Recurance · prevention of future deaths reports
Pre-inquest brief
Missing clear images for bale loading and unloading
The earlier warning
Ashley Holden · 17 Apr 2020 · Paul Smith, Lincolnshire
“There is no definitive guidance provided to the industry in relation to the stacking or unstacking of bales, or in relation to the loading and strapping of loaded trailers”
judiciary.uk/prevention-of-future-death-reports/ashley-holden
What was promised
Stated action 1 · response to Ashley Holden (17 Apr 2020) · stated timescale: none stated
“We continue to monitor and adapt our guidance in light of incidents and modern farming practices. For example, INDG125(rev3) was revised in 2012 to provide updated guidance to the industry on safe working practices, including the safe loading and unloading of bales.”
judiciary.uk/…/2020-0096-Response-from-Health-Safety-England_Re…
What recurred
- 18 Jul 2024 · Tony Williams · Jacqueline Devonish · Closely related · confidence 0.85 (high)
The clearest link, quoted from both reports:
Earlier · Ashley Holden · 17 Apr 2020
“There is no definitive guidance provided to the industry in relation to the stacking or unstacking of bales, or in relation to the loading and strapping of loaded trailers”
Later · Tony Williams · 18 Jul 2024
“It became apparent that there were no clear images in the guidance or support materials produced by HSE to assist drivers who load and unload bales.”
What happened next
No web check of the stated actions has been published for this chain.